Anthony Ragone Email & Phone Number

Burley, Id, Us

Remote

Investigated and managed over 130+ medical only, lost time, litigated and high exposure workers compensation claims for Utah and Colorado jurisdictions.Maintained diary logs and plans of action and detailed status reports for clients and carriers within company and state mandated timelines.Coordinated with nurse case managers, employers, legal counsels and injured workers for final resolution of claims including settlements and future medical cost projections.

Remote

Investigated over 180+ workers' compensation claims to determine compensability and lost-time/medical benefits on core, indemnity and litigated claims for Idaho, Utah and Illinois jurisdictions.Developed action plans with case managers, employers and injured workers to bring claims to a full resolution.Coordinated with legal counsels to negotiate and close permanent-partial and permanent-total litigation claims for full and final settlement including Medicare Set Aside annuities.

Remote

Analyzed and approved paid leave of absence claims for Amazon employees during the COVID-19 pandemic. Helped troubleshoot and resolve direct deposit issues for quarantined employees. Handled escalated customer service complaints regarding claim statuses and pay.

Boise, Idaho Area

Collected and analyzed information from claimants, medical providers and employers to determine compensability on both medical only and lost time workers' compensation claims. Demonstrated effective management of high volume claims by establishing and maintaining diary logs and plans of action. Submitted detailed status reports, time sensitive logs and inquiries from clients within company and state mandated timelines.

Nampa, Id

Analyzed and collected information from claimants, medical and police reports to determine liability regarding auto no-fault claims. Reviewed Examination Under Oath transcripts of claimants to determine over-billing and services that were not rendered by fraudulent medical providers. Drafted and updated Excel database of medical providers suspected of insurance fraud.

Greater New York City Area

Analyzed and collected information from policyholders, claimants and legal representatives to determine liability regarding first-notice property & casualty claims. Provided written and verbal customer support to brokers, underwriters and policyholders on statuses of claims. Reviewed billing invoices from company legal vendors for discrepancies and issued payments within policy reserves.

Secaucus, Nj (Worked In The Ny, Nj And Ct Area)

Conducted video surveillance on worker's compensation recipients to determine employment status and physical activity. Interviewed recipients to verify contact, treatment, daily activities, employment status and eligibility of benefits. Secured scene diagrams, photos and witness statements of parties involved in 3rd party auto and property damage claims.

White Plains, Ny

Analyzed and collected information from medical reports, claimants, and employers to determine liability regarding short and long term disability claims. Calculated and approved payment of claims within client's policy limits. Provided written and verbal customer support to claimants and policyholders.

Hawthorne, Ny

Analyzed and collected information from medical reports, claimants, and employers to determine liability regarding short term disability and FMLA claims. Calculated and approved payment of claims within client's policy limits. Provided written and verbal customer support to claimants and policyholders.

Las Vegas, Nv

Instructed sophomore and junior high school students in World & American history and Constitutional Government. Developed daily object-lesson plans, homework assignments, and exams through MS PowerPoint, Excel and Word. Worked with parents/legal guardians of special needs students on grades and classroom behavior through Individual Education Plans.

B.S, History Education

Minor in American Government.

A.A, Liberal Sciences - Social Science